【摘要】 目的 探讨恒定输液管理在内镜治疗术后禁食补液患者低血糖、疼痛及舒适度中的应用效果。方法 2019年4月—2021年6月，采用Excel软件的RAND函数随机分组的方法，将内镜治疗术后需禁食补液的184例患者分成4组，对照组（49例）给予常规输液管理，每日4次监测末梢血糖；观察A组（46例）采用常规输液管理，每6 h监测末梢血糖1次；观察B组（41例）采用恒定输液管理，每日4次监测末梢血糖；观察C组（48例）采用恒定输液管理，每6 h监测末梢血糖1次。采用视觉模拟评分方法（VAS）及舒适状态量表（GCQ）评价输液中疼痛、舒适度，比较4组患者低血糖发生率及舒适度。结果 观察C组患者的低血糖发生率低于其他3组，差异有统计学意义（P<0.05）；采用恒定输液管理组低血糖发生率低于常规液体管理组，组间比较差异有统计学意义（P<0.05）;GCQ量表生理、心理、精神、社会4个维度得分及总分比较，差异无统计学意义（P>0.05）;4组患者VAS得分比较，差异有统计学意义（P<0.05）。结论 内镜诊疗围术期采用恒定输液管理，并每6 h监测1次末梢血糖，可降低患者低血糖的发生率，并减轻患者输液疼痛。更多还原

【Abstract】 Objective To explore the effect of constant infusion management on hypoglycemia, pain and comfort of patients with fasting and fluid replacement after endoscopic treatment. Methods A total of 184 patients requiring fasting and rehydration after endoscopic therapy were randomly divided into four groups by RAND function of Excel software from April 2019 to June 2021. The control group(49 cases) was given routine infusion management and peripheral blood glucose was monitored four times a day; observation group A(46 cases) used routine infusion management and monitored peripheral blood glucose once every 6 hours; observation group B(41 cases) adopted constant infusion management and monitored peripheral blood glucose four times a day; the observation group C(48 cases) was managed by constant infusion, and the peripheral blood glucose was monitored once every 6 hours. Visual analogue scale(VAS) and general comfort questionnaire(GCQ)were used to evaluate the pain and comfort during infusion, and the incidence and comfort of hypoglycemia in the four groups were compared. Results The incidence of hypoglycemia in group C was lower than that in other three groups, and the difference was statistically significant(P<0.05). The incidence of hypoglycemia in the constant infusion management group was lower than that in the conventional liquid management group, and the difference between the groups was statistically significant(P<0.05). There was no statistically significant difference in the four dimensions scores of physiology, psychology,spirit and society, and total scores of GCQ(P>0.05). There was statistically significant difference in VAS score between the four groups(P<0.05). Conclusion The use of constant infusion management and monitoring of peripheral blood glucose every 6 hours during the perioperative period of endoscopic diagnosis and treatment can reduce the incidence of hypoglycemia and alleviate the pain of infusion.更多还原